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NPI Code Detail

MEDICARE: MICHELE LEE AUGUSTIN CRNP

MEDICARE:   MICHELE LEE AUGUSTIN  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN13620TN

General Provider Information

NPI Number : 1881845857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE LEE AUGUSTIN CRNP
Provider Business Mailing Address
First Line : 722 N. MILITARY AVE
Second Line :
City : LORETTO
State : TN
Zip : 38469
Country : US
Telephone Number : 931-853-4622
Fax Number : 615-791-9702
Provider Business Practice Location Address
First Line : 1345 W MAIN ST
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3703
Country : US
Telephone Number : 615-794-5009
Fax Number : 615-791-9702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 03/18/2026

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Directions to “ MICHELE LEE AUGUSTIN CRNP” Practice Location

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